Joy Judith
J Perianesth Nurs. 2015 Apr;30(2):134-42. doi: 10.1016/j.jopan.2014.06.004. Epub 2015 Jan 20.
The dramatic pace of change in health care is intimidating, and results can be unpredictable and often negative. The practice of contract anesthesia delivery is an excellent example of how a clinical microsystem interacts with the constant change common in today's health care environment. This article identifies many of the issues of concern in contract anesthesia. Awareness of issues will afford nurses, nurse anesthetists, and managers a structure for a smooth, safe, and effective transition of contracting providers.
医疗保健领域急剧的变革步伐令人望而生畏，其结果可能不可预测且往往是负面的。合同制麻醉服务的实践是临床微观系统如何与当今医疗保健环境中常见的持续变化相互作用的一个绝佳例子。本文指出了合同制麻醉中许多令人关注的问题。对这些问题的认识将为护士、麻醉护士和管理人员提供一个架构，以便签约供应商能够顺利、安全且有效地进行过渡。
